Blaine Cooper Britt, M.D.
Individual provider Active NPI Internal Medicine Physician · Brookhaven, MS
NPI 1255593265 · NPPES record last updated May 1, 2017
Key facts
- NPI
- 1255593265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 22176 (MS)
- Practice address
- 950 Brookway Blvd
Brookhaven, MS 39601-2644 - Phone
- (601) 833-7973
- Fax
- (601) 823-3514
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Mississippi School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kings Daughters Medical Center
KDMC Physician Clinics LLC
Practice addresses (Care Compare)
427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011
950 Brookway Blvd
Brookhaven, MS 39601-2644
Phone (601) 833-7973
Hospital & facility affiliations
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- St Luke Home Health Services
- Arden Home Health of West Ms, LLC
- Deaconess Homecare-Region I I
- King'S Daughters Medical Center-Brookhaven
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121009000303 | MS | Practitioner - Internal Medicine |
2860641792 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22176 | MS | MD | Internal Medicine Physician |
| 30508 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Center | Current | Accepting new patients | |
| KDMC Physician Clinics LLC | Current |
Accepting new patients | |
| King'S Daughters Medical Center | Current |
Accepting new patients | |
| King'S Daughters Medical Center | Current |
Accepting new patients | |
| Britt Medical Group LLC | Pediatrics | Past |
Accepting new patients |
Locations
511 Brookman Dr
Brookhaven, MS 39601
Phone (601) 757-7227
950 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-7973
601 Brookman Dr Ext
#A
Brookhaven, MS 39601
Phone (601) 823-5275
427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011
Interoperability endpoints
- https://api.platform.athenahealth.com/6393/brand/1/csg/41/fhir/r4
- blaine.britt.1@21777.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30508 | AL | |
| Pediatrics Physician | 208000000X | 30508 | AL | |
| Internal Medicine Physician | 207R00000X | 22176 | MS | Yes |
| Pediatrics Physician | 208000000X | 22176 | MS |
Addresses
Primary practice location
950 Brookway Blvd
Brookhaven, MS 39601-2644
Mailing address
950 Brookway Blvd
Brookhaven, MS 39601-2644
Phone (601) 833-7973
Other providers in Brookhaven, MS
- David Steven Braden
- Tucker Lee Brady
- Yolanda Shay Bridges
- Bridging Community With Healthcare, LLC
- Britt Medical Group LLC
- Robert B Britt
- Brookhaven Anesthesia & Pain Management
- Brookhaven Children'S Clinic
- Brookhaven Crisis Center
- Brookhaven Diabetes and Primary Care Clinic
All providers in Brookhaven, MS · Internal Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.